LEEDOM FIRE COMPANY NO 1; NPI #1205977592

Contact Information

LEEDOM FIRE COMPANY NO 1

DARBY RD AND CLYMER LA
RIDLEY PARK, PA 19078

Phone: 610-532-5555
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Land Transport	3416L0300X	59	Ambulance Service Provider
Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for LEEDOM FIRE COMPANY NO 1

NPI # 1205977592

LBN Legal business name LEEDOM FIRE COMPANY NO 1

Authorized official STEPHEN YEAGER - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/09/2007

Last updated 11/05/2012 - About 14 years ago

Identifiers

PA	License #	03312
PA	Medicaid	0012118790001
PA	Other	590006861	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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